Provider Demographics
NPI:1659111532
Name:RANKIN, DEVON NICOLE (AUD)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:NICOLE
Last Name:RANKIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 E BAYFRONT PKWY
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-2408
Mailing Address - Country:US
Mailing Address - Phone:814-877-9060
Mailing Address - Fax:814-877-9089
Practice Address - Street 1:380 E BAYFRONT PKWY
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-2408
Practice Address - Country:US
Practice Address - Phone:814-877-9060
Practice Address - Fax:814-877-9089
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006952231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist